Individual
ABBIE CORONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1078 HEADQUARTERS PARK DR, FENTON, MO 63026-1910
(636) 405-2701
Mailing address
1078 HEADQUARTERS PARK DR, FENTON, MO 63026-1910
(636) 405-2701
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2025032031
MO
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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